ZOE SHAPLEIGH TULLIUS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061477

License Status

EXPIRED

Business

Title

First Name

ZOE

Middle

SHAPLEIGH

Last Name

TULLIUS

Business Name

ZOE SHAPLEIGH TULLIUS MD

Original Issue Date

06/23/2012

Effective Date

06/23/2012

Expiration Date

06/22/2015

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/04/2015